HomeMy WebLinkAbout2005-P08546 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08546
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/25/2005
SITE ADDRESS: 280 Wakefield Rd
Wayzata,MN 55391
PID: 36-118-23-31-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 240.63 Valuation: $ 19,250.00
State Surcharge Fee: $ 9.63
Misc.Fee: $ 1.50
TOTAL FEE: $ 251.76
APPLICANT: Southtown Plumbing Inc. OWNER: Thomas&Katherine Batina
6636 Penn Ave S 280 Wakefield Rd
Richfield,MN 55423 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
t
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required). 1-Annlicant. 1-Monthly Revorts. 1-Assessin2. 1-Finance Page 1
:ar-13-20.4 09:27aR Frcm-:I'Y OF ORONO +9'2U?W S T-642 ?.002/003 F-607
CITY OF ORONO APPLICATION FOR PLUMBL` G PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, WN 55323
1. Yo�t m '
may apply for plumbing permits by mail or in person at the Ciry offices.
Perunt cards will be se=c by return rnail after a review is cotnpieted. PERMITS ARE NOT VALID UNTIL
YOU RECEITIF A PERMIT. WORK L( T'VOT BEGIN UNTIL THE PERMIT CARD 1S POST,SD ON
F�O 1
3• Plumbiag perlthit5 may.be issued ONLY to licensed plumbing contracwrs and to property oNncrs residing
in the dwelling--P
4. tk'hea any new construction or remodeling is involved, a separate building permit must 've obtained.
5. All work must be done is accordance with the State Code reclu cements.
6. All work mast be inspected and air tested before it is covered. Call (�S2} 249.4ti40. 24-hour notice
i rquired
Instruct 'ntt Complete all items on this application. Comnure the permit fee. Sign and date the
certification. INCONIPLETE APPLICATIONS WILL NOT' BE PROCESSED, If you have
questions, call (952) 2149-4600-
Please check one; New _ —C Addition Repair Replace
_ -Residential Commerciai�
JOB SITE:_�2$L�41�69L -
0, ner's Name: Telephone Ntunber:
Mailing Address: -_ _City: Zip-
Contractor's Nae; Tele hone Nttm r& -9&/,
'�1(ailingAddress:.1 10m3� :9"jV Zip -� . ?
PL 11BI, 1$,_TNC_FiXTt'1tE
FD 1-C FIR ` BSMT IST ff OTHER FIXTURE BSMT 1ST 2N1D OTHER
TYPE FL TYPE FL FL
7 � PE .�L_
Water Closet ✓ Floor Drains
Lay.-tory
Sewer Ejector
Bathtub -LaundryTra• -- _
_Shower I Washer
Kitchen Sink 1 _ Water Heater
WDiY oral Water Softener
Dishwasher — Wet Bar
tiJlcocks `_]Fmisc (list)
.4)04 09:2ipn Front;l'`' OF OP,ONO
+95224;4616 1-642 P )03/003 F-607 •
LM-M-11 FEE CALC>l,'I..ATIono
0 State r e '7 YeS, This Section Applies
The replacement of a R�sidenn aj fixture or M nee that meets all three of the following
requirements-
1) D-0—es not require modification to electrical or gas service.
2) Hasa LQLg cos of$500.00 or
and less; g,eluding The cost of the fixture or appliance:
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ lS.00
State Surcharge $ SO
Mail In Fee $ 1 59
If above does not apply, follow guidelines below:
I.
C==.-Price* is .0125 % of job with a Ylinimum Fee of 5.00
i _o2sy
X .0115 $ _�3
(contract price) (rninimum S35.UGT
State Surcharge. *` Add the State Building Code Division a (Minimum Fee of$ .501
__15y X .0005 $ I, &3
(contract price) (minimum$ .SG)
3. FJQ-5129e and Han4Ug (Orly mail-in applications) g 1
..._ 50
4. TOTAL PERMIT FEE (Add lines 1.3 above) S �, 7J0
CONTRACT PRICE or JOB COST means the actual or estimated do:la_,amount charged for the permitted
work including rnaterials, labor,profit,and other fixed costs. h is the amount to be charged to the customer
for the work done. If any material, equipment, labor,or installarion are furnished by the owner, tenant or
any other parry the reasonable market value of such items must be added to the estimated cost or contract
price for permit tee purposes. In the event that there is a dispute on the amount of he job cost, the Ciry may
request ft submission of a sighed copy of the actual contract,
The STATE SURCHARGE is .0005 of the contract price order$1,000,000 or S.50 - whichever is greater.
For valuations over$1,000,000 call the Deparrment of Inspection Semices for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the Staof
Minnesota, and certifies that all statements tradete on this application are complete, true and
correct.
Applicant's Signature:
---- Date:
DA E TIME
CITY OF ORONO CALLED IN
INSPECTIONIC SCHEDULED
PERMIT NO. COMPLETED t
ADDRESS cuo
OWNER ®6O CONTR.
TELEPHONE NO. �(oZ l� 3o J G
7
DESCRIPTION ( 1- A( r
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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ORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
TIME V
1 �•CITY OF ORONO CALLED IN 1��
INSPECTIONi// SCHEDULED
^ —
PERMIT NO. p� `x& CO LETED
ADDRESS oZ0
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION ✓` 2'�"'�
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO SITE 27 SEPTIC MAINT. 21 COMPLAINT
-4 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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QC
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
QCW
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
C]CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on sit
Inspector.
White CopylInspector's File Canary Copy/Site Notice